| NPI | 1912311549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MT PSY-PSY-LIC-1193) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: ID PSY-202256) |
| Enumeration Date | 2014-06-11 |
| Last Update Date | 2014-06-11 |